Individual provider · Type 1 NPI
Medetina Adagba
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Denver, CO
Practice location
4900 Granby St
Denver, CO 80239-4267
Mailing address
9748 Danube Ct
Commerce City, CO 80022-2415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1932924487
Medetina Adagba's National Provider Identifier is 1932924487, issued on Nov 20, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Denver, CO. The record was last updated on Nov 20, 2024.